Texas Senate Bill SB2284

Texas 2019 - 86th Regular

Caption

Relating to reimbursement under certain health benefit plans for certain services and procedures performed by pharmacists.

Impact

The impact of SB2284 on existing state laws is significant as it broadens the definition of reimbursable services under various health benefit plans. This bill mandates that insurers cannot deny reimbursement for services provided by pharmacists solely based on the service being within the pharmacists' scope of practice. It applies to numerous types of health benefit arrangements, including those established by local governments and small employers, which could substantially affect the operations of these benefit plans.

Summary

Senate Bill 2284 proposes amendments to the Insurance Code to enhance reimbursement policies regarding services and procedures provided by pharmacists. Specifically, it stipulates that health benefit plans must reimburse pharmacists for certain services that are also covered when provided by licensed physicians, advanced practice nurses, or physician assistants. This change seeks to recognize the evolving role of pharmacists in delivering healthcare services, thereby expanding their scope of practice and ensuring they are compensated fairly for their contributions.

Contention

Notable points of contention regarding SB2284 include concerns from various stakeholders about the implications of expanded pharmacist services on patient care and the healthcare system overall. Critics argue that while increasing the scope of reimbursement for pharmacists can improve access to care, it may also lead to confusion regarding the division of responsibilities among healthcare providers. Additionally, there are concerns regarding the financial impact on insurance providers and whether this could lead to higher insurance premiums for consumers.